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... contract is responsible for processing claims for more than 6 million ... than 6 million members, the claims processing and financial management functions ... to an external vendor. The..
Description The Pharmacy Claims Lead operationalizes and monitors Coordination of Benefits (COB) and subrogation claim processing logic and processes. Exercises independent judgment and decision making on managing staff, complex issues regarding ..
Description The Pharmacy Claims Professional 2 monitors and ensures ... ensures appropriate adjudication of pharmacy claims. The Pharmacy Claims Professional 2 work assignments are ... of action. Responsibilities The Pharmacy..
Job Information Humana Claims Review Representative 2 in Portland ... in Portland Oregon Description The Claims Review Representative 2 , will ... based on strong knowledge of claims procedures, contract..
Job Information Humana Pharmacy Claims Specialist, Remote in Vancouver Washington ... Vancouver Washington Description The Pharmacy Claims Representative 2 adjudicates pharmacy claims and process pharmacy claims for payment. The Pharmacy..
... **Providence is calling an Associate Claims Specialist who will:** Process claims for members, providers, and employers ... concerns Correctly analyze and adjudicate claims to reflect financial, check, and .....
Description The Claims Review Representative 3 makes appropriate ... based on strong knowledge of claims procedures, contract provisions, and state ... state and federal legislation. The Claims Review Representative 3..
Associate Cyber Claim Counsel The candidate will follow operational policies to analyze, investigate, and resolve BSI claims of varying levels of severity with active supervision from claims management. Will prepare and ..
... New Hire Bonus Company: Travelers Insurance Category: Claims Location: Lake Oswego, Oregon Tweets ... to moderate Personal and Business Insurance Auto Damage claims from the first notice of .....
... New Hire Bonus Company: Travelers Insurance Category: Claims Location: Lake Oswego, Oregon Tweets ... investigating, evaluating, negotiating and resolving claims on losses of lesser value ... endorsements for Auto..
Job Information Humana Pharmacy Desktop Auditor (Claims Professional 2) in Vancouver Washington Description The Humana Pharmacy Solutions traditional Desktop Audit team oversees and manages multiple aspects related to reviewing pharmacy claim ..
Cyber Claim Counsel The candidate will follow operational policies to analyze, investigate, and resolve BSI claims of varying levels of severity with moderate supervision from claims management. Will prepare and present ..
... New Hire Bonus Company: Travelers Insurance Category: Claims Location: Lake Oswego, Oregon Tweets ... for handling Personal and Business Insurance Auto Bodily Injury claims from the first notice of..
Description The Pharmacy Claims Professional 2 is responsible for ... maintaining guidelines. Responsibilities The Pharmacy Claims Professional 2 analyzes and answers ... and answers inquiries regarding pharmacy claims adjudication, including..
Litigation Casualty Adjuster The candidate will communicate empathetically with customers and help them through their claim process in a fast, fair and easy manner. Will review the claim including statement summaries, ..
Job Information Humana Claims Review Representative 2 in Vancouver ... in Vancouver Washington Description The Claims Review Representative 2 , will ... based on strong knowledge of claims procedures, contract..
... Claim Representative Trainee Company: Travelers Insurance Category: Claims Location: Lake Oswego, Oregon Tweets ... investigating, evaluating, negotiating and resolving claims on losses of lesser value ... assignments: Handles 1st..
... when you join Liberty Mutual Insurance as an Auto Claims Representative. As a licensed claims adjuster, you will be fulfilling the ... and claimants through the auto claims process..
Description The Business Intelligence Lead solves complex business problems and issues using data from internal and external sources to provide insight to decision-makers. The Business Intelligence Lead works on problems of ..
... a book of specialty lines claims, throughout the entire claim's life ... reserves, monitoring, documenting, and settling/closing claims in an expeditious and economical ... disposition. Utilizes CMS to document..
... member of the Field Property Claims Team, you will play a ... resolve a variety of homeowner claims in a fast paced, detail-oriented, ... challenge, as our Field Property..
Job Information Humana Insurance Product Management Representative 2 in ... in Vancouver Washington Description The Insurance Product Management Representative 2 Manages ... Product Management Representative 2 Manages insurance product offerings..
... New Hire Bonus Company: Travelers Insurance Category: Claims Location: Lake Oswego, Oregon Tweets ... to complex Personal and Business Insurance Auto Damage claims as well as low complexity .....